Nursing 612 API Adult Gerontology at St Thomas University
Access The Exact Questions for Nursing 612 API Adult Gerontology at St Thomas University
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
What’s Included:
- Unlock Actual Exam Questions and Answers for Nursing 612 API Adult Gerontology at St Thomas University on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Free Nursing 612 API Adult Gerontology at St Thomas University Questions
The nurse practitioner sees a patient in the emergency department with reports of chest pain and nausea. To analyze the patient’s condition, what further information is needed?
-
Whether there has been constipation.
-
Information regarding last food intake.
-
Information regarding urinary difficulties.
-
A description of the pain.
Explanation
The Correct Answer is:
D. A description of the pain.
Detailed Explanation:
When a patient presents with chest pain and nausea, obtaining a detailed description of the pain is essential for determining whether it is cardiac in origin. The nurse practitioner should assess the location, quality, duration, intensity, radiation, and precipitating or relieving factors of the pain. This helps differentiate cardiac ischemia (e.g., angina or myocardial infarction) from gastrointestinal, musculoskeletal, or pulmonary causes. While food intake or bowel/urinary issues may provide supporting clues, the pain characteristics are the most critical diagnostic component for immediate assessment and intervention.
Anne is a 50-year-old post-mastectomy patient diagnosed with secondary lymphedema. Based on her surgical history, which of the following may be the contributing factor to the lymphedema?
-
Urological cancer
-
Infection
-
Breast cancer
-
Gynecological cancer
Explanation
The Correct Answer is:
C. Breast cancer.
Detailed Explanation:
Secondary lymphedema commonly develops after breast cancer surgery, especially when lymph nodes are removed or damaged during a mastectomy or radiation therapy. Disruption of lymphatic drainage in the arm on the affected side leads to fluid accumulation, swelling, and tissue fibrosis. This is a frequent complication of axillary lymph node dissection. In contrast, urological and gynecological cancers (A and D) may cause lymphedema in the lower extremities, while infection (B) is more often a consequence rather than the primary cause in this context.
Devon visits the urgent care facility for sudden symptoms of pain to his lower extremity. The initial diagnosis is acute arterial ischemia. Aside from pain, which other symptoms may arise from this diagnosis? Select all that apply.
-
Paresthesia
-
Pulselessness
-
Purulence
-
Paralysis
-
Pallor
Explanation
The Correct Answers are:
A. Paresthesia, B. Pulselessness, D. Paralysis, and E. Pallor.
Detailed Explanations:
A. Paresthesia:
A tingling or numb sensation occurs due to reduced blood flow and oxygen supply to peripheral nerves, an early sign of ischemia.
B. Pulselessness:
Absent or diminished peripheral pulses indicate a severe reduction or total loss of arterial blood flow, a hallmark sign of acute arterial occlusion.
D. Paralysis:
Muscle weakness or inability to move the affected limb may develop as ischemia progresses and nerve and muscle tissues become deprived of oxygen.
E. Pallor:
The affected limb appears pale or ashen due to lack of arterial perfusion. This can progress to mottling and cyanosis if circulation is not restored.
Sharon is a 70-year-old patient with venous ulcers to her right lower extremity. She has a history of multiple pregnancies and surgeries, and has a sedentary lifestyle. Which of the following may be possible contributing factors to her diagnosis given her history? Select all that apply.
-
Parkinsonism
-
History of breast cancer
-
Obesity
-
Reduced mobility
-
Degenerative disease
Explanation
The Correct Answers are:
C. Obesity and D. Reduced mobility.
Detailed Explanations:
C. Obesity:
Obesity increases venous pressure in the lower extremities, impairing venous return and promoting venous stasis. This leads to valve incompetence, edema, and tissue breakdown—key contributors to venous ulcer formation.
D. Reduced mobility:
A sedentary lifestyle or limited mobility decreases the calf muscle pump function, which normally assists in venous return to the heart. Stagnant blood flow in the lower extremities causes chronic venous insufficiency and ulcer development.
Which of the following conditions is signaled by symptoms of swelling of the affected body part, usually the limb, because of impaired flow of lymph fluid?
-
Abdominal aortic aneurysm (AAA)
-
Peripheral vascular disease (PVD)
-
Lymphedema
-
Venous ulcers
Explanation
The Correct Answer is:
C. Lymphedema.
Detailed Explanation:
Lymphedema is a chronic condition characterized by swelling—most often in the arms or legs—due to impaired lymphatic drainage. It occurs when lymph fluid cannot properly circulate and accumulates in the tissues. The swelling is typically firm, non-pitting, and may progress over time, causing discomfort, skin thickening, and reduced mobility.
Patient education is very important for individuals who have AAA. The patient and their family should be taught the importance of follow-up and the management of which of the following? Select all that apply.
-
Chondromalacia
-
Pain
-
Smoking
-
Hypertension
-
Hypercholesterolemia
Explanation
The Correct Answers are:
B. Pain, C. Smoking, D. Hypertension, and E. Hypercholesterolemia.
Detailed Explanations:
B. Pain:
Pain may indicate aneurysm expansion or impending rupture. Patients should be taught to report new, persistent, or severe abdominal or back pain immediately, as this may signify a medical emergency.
C. Smoking:
Smoking accelerates atherosclerosis, damages vascular walls, and increases aneurysm growth and rupture risk. Complete smoking cessation is crucial to slow aneurysm progression and improve vascular health.
D. Hypertension:
Uncontrolled blood pressure raises wall tension in the aorta, significantly increasing the risk of aneurysm rupture. Strict blood pressure control through medication and lifestyle modification is essential for safety.
E. Hypercholesterolemia:
Elevated cholesterol contributes to atherosclerosis, the underlying cause of most abdominal aortic aneurysms. Managing cholesterol through diet, exercise, and medication helps reduce vascular inflammation and aneurysm progression.
Ms. Alma, 69 years old, seeks medical advice because she is having trouble breathing. She is experiencing dyspnea, chronic cough with sputum production, decreased activity tolerance, and wheezing. She states that she had not been near anyone with any upper respiratory infections and wonders why this is happening. The nurse practitioner asks which of the following questions? Select all that apply.
-
Have you ever worked in a factory or foundry?
-
Have you ever smoked cigarettes?
-
Have your symptoms increased as you've gotten older?
-
How long have you experienced these symptoms?
-
Do you have any past history of respiratory difficulties?
Explanation
The Correct Answers are:
A. Have you ever worked in a factory or foundry?, B. Have you ever smoked cigarettes?, C. Have your symptoms increased as you've gotten older?, D. How long have you experienced these symptoms?, and E. Do you have any past history of respiratory difficulties?
Detailed Explanations:
A. Have you ever worked in a factory or foundry?
Occupational exposure to dust, chemicals, and fumes is a significant risk factor for chronic obstructive pulmonary disease (COPD) and other chronic lung conditions.
B. Have you ever smoked cigarettes?
Smoking is the leading cause of COPD and chronic bronchitis. Assessing smoking history helps establish the most likely etiology for her symptoms.
C. Have your symptoms increased as you've gotten older?
Progressive worsening with age supports a chronic disease process such as COPD, rather than an acute infection.
D. How long have you experienced these symptoms?
Duration helps distinguish between acute respiratory infections and chronic respiratory diseases. Longstanding symptoms indicate a chronic underlying problem.
E. Do you have any past history of respiratory difficulties?
A prior history of respiratory illnesses such as asthma, bronchitis, or pneumonia provides context for current symptoms and helps guide diagnosis and management.
AAA is mostly atherosclerotic in nature, but can also be caused by trauma, infection, and inflammation. Which of the following is a true statement regarding the tendency to develop AAA? Select all that apply.
-
AAA is the 13th leading cause of death in the United States.
-
There is no dominant ethnic group that develops AAA.
-
Caucasians have a higher risk of developing AAA
-
Women have a higher risk of developing AAA.
-
There is a familial history associated with AAA development.
Explanation
The Correct Answers are:
A. AAA is the 13th leading cause of death in the United States, C. Caucasians have a higher risk of developing AAA, and E. There is a familial history associated with AAA development.
Detailed Explanations:
A. AAA is the 13th leading cause of death in the United States:
Abdominal aortic aneurysm (AAA) is a significant cause of mortality, particularly among older adults. Ruptured AAAs have a high fatality rate, making it one of the leading causes of sudden death in men over 65.
C. Caucasians have a higher risk of developing AAA:
Epidemiological data show that Caucasian men are at a notably higher risk compared to other ethnic groups. The condition is also more prevalent among individuals with a history of smoking and hypertension.
E. There is a familial history associated with AAA development:
A family history of AAA increases risk due to genetic predisposition affecting connective tissue integrity and vascular elasticity. First-degree relatives of affected individuals should undergo screening.
In the assessment for peripheral vascular disorders, the clinician should begin with which of the following after the general history and physical examination?
-
Palpation of the carotid arteries bilaterally.
-
Order diagnostic testing.
-
Auscultation of the carotid arteries bilaterally.
-
Inspection of the carotid arteries bilaterally.
Explanation
The Correct Answer is:
C. Auscultation of the carotid arteries bilaterally.
Detailed Explanation:
After completing the general history and physical examination, the clinician should auscultate the carotid arteries bilaterally before palpation. This helps detect the presence of a carotid bruit, which indicates turbulent blood flow often caused by atherosclerotic narrowing or stenosis. Palpating the carotid arteries before auscultation can dislodge plaque and potentially cause embolization leading to stroke. Therefore, auscultation is the safest and most appropriate first step when assessing for peripheral vascular disorders involving the carotid arteries.
The nurse practitioner knows that risk factors for coronary artery disease (CAD) include atherosclerosis. The nurse practitioner includes teaching on these factors that can be remediated to help prevent CAD:
-
Age
-
Advanced age and male gender.
-
Cholesterol levels and smoking.
-
Low blood pressure.
Explanation
The Correct Answer is:
C. Cholesterol levels and smoking.
Detailed Explanation:
Atherosclerosis is a primary contributor to coronary artery disease (CAD), and modifiable risk factors play a major role in its prevention. Elevated cholesterol levels lead to plaque buildup in arterial walls, while smoking accelerates endothelial damage, promotes vasoconstriction, and increases platelet aggregation—all of which heighten CAD risk. These factors can be improved through lifestyle changes, diet, and medication.
How to Order
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .